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Table 2 Qualitative Studies

From: BreathCarer: Informal carers of patients with chronic breathlessness: a mixed-methods systematic review of burden, needs, coping, and support interventions

Author, year

Country

Aim

Data collection and analysis

Sample (n)

Patient diagnosis

Aasbo et al. 2017

[30]

Norway

To investigate how carer negotiate their role as carer with patients and healthcare professionals when chronic illness turns into acute exacerbations for patients with COPD

Semi-structured interviews and thematic analysis

10 carers

Age: Range 61 – 84y

4 males, 6 females

COPD with acute exacerbation and some under oxygen therapy

Bailey 2004

[31]

Canada

To explore the affective component of breathlessness to patient-carer dyads

In-depth Interviews and narrative analysis with ethnography

10 carers

Age: NA

Gender: NA

COPD with breathlessness and acute exacerbation

Bergs 2002

[32]

Iceland

To describe the experience of quality of life of women, taking care of husbands with chronic obstructive pulmonary disease (COPD)

Unstructured, in-depth interviews with carer and phenomenological method

6 carers

Age: Range 47 – 69y

6 females

COPD

Booth et al. 2003

[33]

England

To explore the experience of breathlessness and its effects on everyday life for patients and carers

Semi-structured Interviews and a coding framework was constructed

20 carers

Age: NA

Gender: NA

Cancer and COPD with breathlessness

Booth et al. 2006

[34]

England

To evaluate the Breathlessness Intervention Service (BIS)

Unstructured interviews and open line-by-line coding

9 carers

Age: NA

Gender: NA

intractable breathlessness

Clancy et al. 2009

[35]

UK

To explore longitudinally the views, feelings and experiences of people with COPD and their carers, at the onset of prescribed LTOT

focused-conversation style interviews and Heideggerian phenomenology

7 carers

Age: Range 50 – 78y

5 females, 2 males

COPD with LTOT due to hypoxemia

Collier et al. 2017

[36]

Australia

To understand carer experiences and perspectives with caring for individuals on long-term oxygen therapy (LTOT)

Semi-structured interviews and grounded theory

20 carers

Age: NA

7 males, 13 females

Any life-limiting disease with breathlessness and receiving LTOT

Ek et al. 2011

[37]

Sweden

To illuminate couples ‘experiences of living together when one partner has advanced COPD treated by means of long-term oxygen therapy

Repeated qualitative interviews and phenomenological-hermeneutical methods

4 carers

Age: Range 67—74y

1 female, 3 males

COPD with LTOT

Farquhar et al. 2017

[17]

UK

To identify the educational needs of carers of patients with breathlessness due to advanced disease to provide an evidence base for further interventional content

Separated in-depth interviews and framework analysis

25 carers

Age: Range 42 – 84y

21 females, 4 males

COPD and cancer with breathlessness

Ferreira et al. 2022

[38]

Australia

To explore patients and carers’ experiences with regular, low-dose, sustained-release morphine for severe chronic breathlessness associated with chronic obstructive pulmonary disease (COPD)

semi-structured interviews and constant comparative approach guided by grounded theory principles

9 carers

Age: Median 70 (IQR 69—79)

3 males, 6 females

COPD with morphine for severe breathlessness

Ferreira et al. 2020

[39]

Australia

To understand the experience of living with, and responding to, severe chronic breathlessness in people with COPD from the perspective of the patient and their carer

semi-structured interviews and constant comparative approach guided by grounded theory principles

9 carers

Age: Median 70 (IQR 69—79)

3 males, 6 females

COPD with chronic breathlessness

Ferreira F et al. 2020

[46]

Portugal

To explore the experiences of carers of people with breathlessness at home and identifying the strategies that these carers adopt to help controlling this symptom

Mixed questionnaire of open and closed-ended questions and qualitative content analysis

14 carers

Age: aged over 63 years (42.8%)

57.1% female

cancer (breathlessness)

Gysels et al. 2009

[40]

UK

To investigate the caring experience of carers for patients with an advanced progressive illness who suffer from breathlessness

In-depth semi-structured interviews and grounded theory

15 carers

Age: Range 40—72y

15 females

Breathlessness due to COPD, cancer, MND or hearth failure

Hynes et al. 2010

[41]

Ireland

To explore the experiences of carers providing care in the home to a family member with chronic obstructive pulmonary disease

1 Meaning and experience of carers´ role

2 Meeting the needs of care recipients

3 Interaction with formal health care

Semi-structured interviews and hermeneutic phenomenological

11 carers

Age: Range 20—79y

9 females, 2 males

COPD

Moody et al. 2004

[29]

USA

Identify perceived needs and what they would have liked the hospice nurses to help them with, what carer do to assist the patients, and what hospice staff could do better

Focus groups and data reduction by Krueger

6 carers

Age: Range 38—65 y

5 females, 1 mal

Lung cancer, COPD with severe breathlessness

Pooler et al. 2018

[42]

Canada

To explore bereaved carers’ experiences of IPF patients’ end-of-life care with the palliative approach initiated at the first visit to the clinic

Open-ended interviews and narrative approach with thematic content analysis

8 carers

Age: between 50 and 80 s

7 female, 1 male

ILD

Reitzel et al. 2022

[43]

Germany

To explore the experiences and perceptions of carers regarding episodic breathlessness and how they manage care of individuals with episodic breathlessness

Semi-structured interviews and content analysis

13 carers

Age: Range 50—78y

7 females, 6 males

COPD, cancer, ILD, chronic heart failure with episodic breathlessness

Rocker et al. 2012

[44]

Canada

To explore the experiences of patients and family carers with opioids for refractory COPD-related breathlessness and the perspectives and attitudes of physicians toward opioids in this context

Semi-structured interviews and interpretive description approach

12 carers

Age: Range 34—75y

5 males, 7 females

Advanced COPD with opioids for refractory dyspnoea

Schunk et al. 2019

[17]

Germany

To explore the experiences and needs of patients with breathlessness, their carers, and health care providers (HCPs) and their expectations for future service developments

Semi-structured interviews and qualitative content analysis

3 carers

Age: median 53.6y

2 females, 1 male

COPD, Cancer and lung fibrosis with breathlessness

Sigurgeirsdottir et al. 2020

[45]

Iceland

To explore principal family members’ experience of motivating patients with chronic obstructive pulmonary disease (COPD) towards self-management

In-depth interviews and phenomenological analysis

10 carers

Age: NA

4 males, 6 females

COPD (70% with GOLD IV)